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Share-Based Payments - Narrative (Details)
$ / shares in Units, $ in Millions
1 Months Ended 3 Months Ended 12 Months Ended
Sep. 26, 2023
USD ($)
Jun. 30, 2017
shares
Jun. 30, 2015
shares
May 31, 2006
shares
Mar. 31, 2019
Dec. 31, 2023
USD ($)
increment
plan
$ / shares
shares
Dec. 31, 2022
USD ($)
$ / shares
Dec. 31, 2021
USD ($)
$ / shares
Dec. 31, 2014
increment
Share-based Compensation Arrangement by Share-based Payment Award                  
Selling, general and administrative           $ 2,549.7 $ 2,403.6 $ 2,674.3  
Unrecognized compensation cost related to unvested share-based compensation           $ 287.4      
Weighted-average period to recognize the cost of unvested awards (in years)           1 year 9 months 18 days      
Number of share-based compensation plans pursuant to which awards are currently being made | plan           3      
Granted (in shares) | shares           0      
Shares issued under ESPP (in shares) | shares     6,200,000            
Reata Pharmaceuticals, Inc                  
Share-based Compensation Arrangement by Share-based Payment Award                  
Operating expenses $ 393.4                
Selling, general and administrative 196.4                
Research and development expense asset acquired $ 197.0                
Stock Options                  
Share-based Compensation Arrangement by Share-based Payment Award                  
Share based payment arrangement, term           10 years      
Market Stock Units (MSUs)                  
Share-based Compensation Arrangement by Share-based Payment Award                  
Number of equal annual increments | increment           3     4
Percentage of earnings of the target number of units granted based on actual stock performance           0.00%     0.00%
Percentage of earnings of the target number of units granted based on actual stock performance           200.00%     150.00%
Weighted average grant date fair value, nonvested | $ / shares           $ 359.77 $ 366.52 $ 358.77  
Total fair value of vested awards           $ 20.7 $ 18.8 $ 22.5  
Granted (in dollars per share) | $ / shares           $ 0   $ 358.77  
Performance Units (PUs)                  
Share-based Compensation Arrangement by Share-based Payment Award                  
Number of days for calculation of average closing stock price           30 days      
Total fair value of vested awards           $ 28.6 $ 9.5 $ 15.5  
PSUs Settled in Stock                  
Share-based Compensation Arrangement by Share-based Payment Award                  
Vesting period         3 years        
Percentage of earnings of the target number of units granted based on actual stock performance           0.00%      
Percentage of earnings of the target number of units granted based on actual stock performance           200.00%      
Weighted average grant date fair value, nonvested | $ / shares           $ 325.73 $ 292.95    
Granted (in dollars per share) | $ / shares           $ 383.61 $ 294.43 $ 276.61  
PSUs Settled in Cash                  
Share-based Compensation Arrangement by Share-based Payment Award                  
Vesting period         3 years        
Percentage of earnings of the target number of units granted based on actual stock performance           0.00%      
Percentage of earnings of the target number of units granted based on actual stock performance           200.00%      
Number of days for calculation of average closing stock price           30 days      
Total fair value of vested awards           $ 11.7 $ 11.0 $ 9.9  
Granted (in dollars per share) | $ / shares           $ 383.61 $ 294.43    
Time-Vested Restricted Stock Units (RSUs)                  
Share-based Compensation Arrangement by Share-based Payment Award                  
Vesting period           3 years      
Weighted average grant date fair value, nonvested | $ / shares           $ 256.74 $ 237.90    
Total fair value of vested awards           $ 232.1 $ 116.3 $ 132.2  
Granted (in dollars per share) | $ / shares           $ 282.92 $ 221.28 $ 276.90  
Directors Plan                  
Share-based Compensation Arrangement by Share-based Payment Award                  
Total number of shares of common stock for issuance (in shares) | shares       1,600,000          
Ratio of total number of shares reserved under the plan       1.5          
2017 Omnibus Equity Plan                  
Share-based Compensation Arrangement by Share-based Payment Award                  
Ratio of total number of shares reserved under the plan   1.5              
Omnibus Plan number of shares authorized (in shares) | shares   8,000,000              
2017 Omnibus Equity Plan | Chief Executive Officer                  
Share-based Compensation Arrangement by Share-based Payment Award                  
Granted (in shares) | shares           81,000      
Stock options granted, weighted average price (in dollars per share) | $ / shares           $ 139.10      
Stock options granted, grant date fair value           $ 11.2      
Vesting period           3 years